So wo ba no nya nsensanee te sɛ eyi? Momma yensua Neonatal Lupus ho ade!

Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra sɛ wuhu mpofirim sɛ nsensanee kɔkɔɔ bi wɔ wo ba a wɔawo no foforo no nipadua so, anaasɛ oduruyɛfo no ka biribi fa wo ba no koma bɔ ho a. Ɛtɔ da bi a, tebea bi a wɔfrɛ no Neonatal Lupus betumi de saa nneɛma yi aba. Ɛnnɛ, yɛbɛka eyi ho asɛm akɔ akyiri kakra, sɛnea wo ne w’adamfo bi bɛkasa no.

Dɛn ne Neonatal Lupus?

Sɛ yɛbɛka no tiawa a, Neonatal Lupus yɛ tebea a ebetumi aka akokoaa wɔ awotwaa mu (akokoaa) anaasɛ wɔ awo akyi pɛɛ (akokoaa). Mpɛn pii no, ɛde bere tiaa mu nsakrae a asiane biara nni ho, te sɛ honam ani akisikuru ba. Mpɛn pii no, eyinom ankasa kɔ ansa na akokoaa no adi afe. Nanso, ɛtɔ mmere bi a Neonatal Lupus betumi aka akokoaa no koma.

Ɔhaw a ɛyɛ hu sen biara a ebetumi aba wɔ saa tebea yi mu ne ``autoimmune congenital heart block.`` Ɛne sɛ, saa ``Neonatal Lupus`` yi mma akokoaa no koma ntumi mmɔ yiye. Saa komayare yi betumi de nkwa ato asiane mu sɛ ɛyɛ nea emu yɛ den sen biara a, nanso mpɛn pii no wobetumi asa.

Sɛ wɔahu sɛ wo ba no anya Neonatal Lupus a, ɛho hia sɛ wudi wo ba no hwɛ kuw no akwankyerɛ akyi yiye. Wɔbɛkyerɛkyerɛ sɛnea yare no a wobehu no bɛka wo ba no ne sɛ ebia ɛho behia sɛ wɔsa yare no mu.

So eyi ne mpanyimfo lupus (Systemic Lupus Erythematosus - SLE) wɔ abusuabɔ?

Dabi, mma abien no nnyɛ basaa. Neonatal Lupus nyɛ yare koro no ara ne Systemic Lupus Erythematosus (SLE) a yɛtaa frɛ no lupus no. Ɛyɛ tebea soronko a ɛwɔ n’ankasa nea ɛde ba ne ayaresa.

Neonatal Lupus fi nipadua mu nkwammoaa ahorow bi te sɛ anti-SSA, anti-SSB, ne anti-U1-RNP a ɛfa awotwaa no mu fi ɛna no mu kɔ akokoaa no nkyɛn. Saa nnuru a ɛko tia nyarewa yi yɛ protein ahorow a wodi mfomso tow hyɛ nkwammoaa a ɛte apɔw a ɛwɔ yɛn nipadua mu no so ankasa. Mpɛn pii no, saa nnuru a ɛko tia nyarewa yi nnya akokoaa a ɔrenyin wɔ awotwaa mu no so nkɛntɛnso. Nanso ɛtɔ mmere bi a, wotumi tow hyɛ akokoaa no nkwammoaa a ɛte apɔw no so, titiriw koma mu nkwammoaa no.

Neonatal Lupus ba nkokoaa a wɔn maame wɔ saa nnuru pɔtee a ɛko tia nyarewa yi nkutoo so. Eyi taa kyerɛ sɛ ɛna no wɔ yare bi a nipadua no tumi ko tia nyarewa. Sɛ nhwɛso no, Sjögren yare, SLE, anaasɛ ntini a ɛka bom yɛ afrafra yare. Nanso, ɛtɔ mmere bi a, saa nnuru a ɛko tia nyarewa yi tumi tra nipadua no mu a enni sɛnkyerɛnne biara. Wɔ tebea horow bi mu no, ebia Neonatal Lupus bɛyɛ sɛnkyerɛnne a edi kan a ɛkyerɛ sɛ ɛna no wɔ saa nnuru a ɛko tia nyarewa yi mu biako anaa nea ɛboro saa na ebia obenya yare bi a ɛyɛ adwuma a nipadua no tumi ko tia nyarewa daakye.

Kae sɛ, sɛ wowɔ yare bi a nipadua no tumi ko tia nyarewa a, ɛnkyerɛ sɛ akyinnye biara nni ho sɛ wo ba no benya Neonatal Lupus. Nokwarem no, ɛda adi kɛse sɛ wo ba no rennya Neonatal Lupus. Nanso, eyi yɛ biribi a ɛsɛ sɛ wuhu na wo ne wo duruyɛfo kasa fa ho.

Tebea yi abu so dɛn?

Neonatal Lupus nyɛ nea ɛntaa nsi. Ne haw a emu yɛ den sen biara, autoimmune congenital heart block, ka nkokoaa a ɛnanom a wɔwɔ tumi a ɛko tia SSA, anti-SSB, anaa anti-U1-RNP awo wɔn no mu nea ennu 2%. Nanso, sɛ woanya koma a nipadua no tumi ko tia no wɔ awo mu wɔ nyinsɛn bi a atwam mu a, asiane kɛse wom sɛ wobɛsan anya bi bio wɔ nyinsɛn a edi hɔ mu.

Dɛn ne `(Neonatal Lupus)` ho sɛnkyerɛnne?

Nsɛnkyerɛnne a ɛda adi kɛse ne honam ani akisikuru. Wotumi hu eyi wɔ awo mu, anaasɛ ebetumi ada adi wɔ nkwa asram kakraa a edi kan no mu. Saa akisikuru yi yɛ bere tiaa mu de na asiane biara nni ho. Ɛda adi sɛ nkaa kurukuruwa a ne ano yɛ kɔla (a ɛtaa yɛ kɔkɔɔ). Nkatabo biara wɔ mfinimfini a emu da hɔ (i.e., honam ani kɔla a ɛfata).

Ɛda adi kɛse sɛ wubehu saa akuru yi wɔ wo ba no ti nhwi ne n’anim. Nanso, wotumi pue wɔ koko, nsa, ne nan nso so. Saa akuru yi te sɛ nea wohu wɔ tebea bi a wɔfrɛ no ``subacute cutaneous lupus.'' Ɛno nti na wɔfrɛ no ``neonatal lupus.''

Bere tiaa mu yare no ho sɛnkyerɛnne afoforo nso wɔ hɔ a asiane biara nni ho. Wɔne:

• Mogya mu nkwammoaa kɔkɔɔ dodow a ɛso tew (nemia).
• Nkwammoaa a ɛba fam (nkwaboaa a ɛboa ma mogya tu) (thrombocytopenia).
• Mogya mu nkwammoaa fitaa dodow a ɛba fam (neutropenia).
• mmerɛbo mu enzyme dodow a ɛkɔ soro.

Saa sɛnkyerɛnne ahorow yi nyinaa yera bere a woyi nipadua mu nkwammoaa a ɛko tia nyarewa a efi ɛna no mu no fi akokoaa no nipadua mu koraa no. Wɔtaa tu mpɔn bere a wɔadi asram 6 kosi 9.

Neonatal Lupus ne Koma a Wɔde Siw Ano

Sɛnea yɛadi kan aka no, Neonatal Lupus betumi de ɔhaw bi a emu yɛ den a wɔfrɛ no autoimmune congenital heart block aba. Eyi yɛ ɔhaw a ɛwɔ akokoaa no koma mu anyinam ahoɔden nhyehyɛe no mu. Ɛmma anyinam ahoɔden a ɛnam koma no mu na ɛma akokoaa no koma bɔ. Wɔ Neonatal Lupus mu no, nkwammoaa a ɛko tia nyarewa a efi ɛna no mu tow hyɛ nkwammoaa kuw bi a wɔhwɛ koma no anyinam ahoɔden dwumadi so, a wɔfrɛ no AV node so.

Ɛtɔ mmere bi a eyi de nsakrae nketenkete nkutoo ba akokoaa no koma a ɛbɔ mu (koma a ɛbɔ a edi kan anaa nea ɛto so abien). Ebia eyinom besiesie wɔ awo akyi. Nanso, nkokoaa binom betumi anya koma a ɛto so abiɛsa, anaasɛ koma a ɛyɛ den koraa, esiane Neonatal Lupus nti.

Eyi ne bere a anyinam ahoɔden nsɛnkyerɛnne a efi koma no atifi adan no mu no ntumi nkɔ adan a ɛwɔ fam no mu no. Sɛ wosiw saa nsɛnkyerɛnne yi ano koraa a, koma no bɔ a ɛnteɛ, na ɛma ɛyɛ den ma akokoaa no koma sɛ ɛbɛfa mogya a ɛdɔɔso akɔ nipadua no mu. Koma a ɛyɛ den a ɛto so abiɛsa ne ɔkwan a emu yɛ den sen biara. Ɛtɔ mmere bi a, ebetumi akum obi ansa na wɔawo no anaa bere a wɔawo no akyi.

Mpɛn pii no, koma no siw wɔ nyinsɛn no adapɛn 18 kosi 24 ntam. Nnuruyɛfo betumi ahu bere a wɔyem no denam akokoaa no koma bɔ a wobetie no so. Sɛ koma no bɔ brɛoo sen sɛnea wɔhwɛɛ kwan (a wɔfrɛ no bradycardia) a, ebetumi ayɛ koma no asiw ho sɛnkyerɛnne.

Dɛn na ɛde Neonatal Lupus ba?

Sɛnea yɛadi kan aka no, Neonatal Lupus fi nipadua mu nkwammoaa a ɛko tia nyarewa a efi ɛna no mu kɔ akokoaa no mu fa awotwaa no mu. Nhwehwɛmufo de nnuru pɔtee a ɛko tia nyarewa yi abata Neonatal Lupus ho:

• `(Anti-Sjögren-yare no-a ɛfa antigen A (anti-SSA/Ro))`
• `(Anti-Sjögren-yare no-a ɛfa antigen B (anti-SSB/La))`
• `(Anti-U1 ribonucleoprotein (a ɛko tia U1-RNP))`

Saa `(antibodies)` yi wɔ nnipa a wɔwɔ nyarewa ahorow a nipadua no tumi ko tia nyarewa, te sɛ `(Sjögren's syndrome)`, `(SLE)`, `(rheumatoid arthritis)` ne `(mixed connective tissue disease)`. Nanso, wobetumi ahu saa `(antibodies)` yi nso wɔ nnipa a wonni yare no ho sɛnkyerɛnne biara anaasɛ wonnya nhuu yare no mu.

Sɛ saa nnuru a ɛko tia nyarewa yi hyɛn akokoaa no nipadua mu a, ebetumi ama nsakrae aba bere tiaa bi anaasɛ ɛbɛtra hɔ daa. Nhwehwɛmufo da so ara nte sɛnea nnuru a ɛko tia nyarewa yi de nsakrae yi ba no ase yiye. Nanso wonim sɛ nsakrae a anibere wom na ɛtra hɔ daa sen biara no yɛ akokoaa no koma .

Sɛ saa nnuru a ɛko tia nyarewa yi kɔ koma no mu pɛ a, efi ase yɛ ɔfe, na ɛma akuru ntini ahorow ba. Saa akuru yi siw anyinam ahoɔden nsɛnkyerɛnne no kwan, na ɛmma akokoaa no koma ntumi nyɛ adwuma yiye. Wɔ tebea horow a enye koraa mu no, eyi betumi ayɛ akwahosan ho asiane wɔ nyinsɛn mu anaasɛ ɛde nsɛnnennen a ɛde ne nkwa to asiane mu aba wɔ awo akyi.

Ɔkwan bɛn so na wohu saa yare yi ``Neonatal Lupus''?

Nnuruyɛfo hu Neonatal Lupus bere a wɔyem anaasɛ wɔawo akyi pɛɛ. Sɛ wohu sɛ akokoaa no koma bɔ brɛoo sen sɛnea wɔhwɛɛ kwan a, wɔbɛyɛ awotwaa mu echocardiogram. Eyi yɛ sɔhwɛ a ahobammɔ wom, ɛnyɛ yaw, na ɛnyɛ nea wɔde hyɛ nipadua mu. Etumi hwɛ sɛnea akokoaa no koma yɛ ne sɛnea ɛyɛ adwuma.

Saa `(fetal echocardiogram)` yi betumi akyerɛ nsakrae a ɛkyerɛ sɛ `(Neonatal Lupus)`. Sɛ saa a, wo duruyɛfo bɛka sɛnea tebea no mu yɛ den ne nea wobɛhwɛ kwan daakye ho asɛm akyerɛ wo. Wɔbɛsan nso ahwɛ wo mogya mu sɛ saa `(antibodies) soronko no wɔ hɔ anaa.`

Ɛtɔ mmere bi a, Neonatal Lupus ho sɛnkyerɛnne te sɛ honam ani akuru no da adi bere a wɔawo akokoaa no akyi nkutoo. Sɛ eyi ba a, nnuruyɛfo kuw no bɛyɛ nipadua mu nhwehwɛmu de ahu nneɛma afoforo a ebetumi de akuru no aba. Ebia wɔbɛsɔ wo, wo ba, anaa mo baanu nyinaa nso ahwɛ sɛ ebia nnuru a ɛko tia nyarewa a ɛbɛboa ma wɔahu yare no.

Wo duruyɛfo bɛkyerɛ sɛ wowɔ Neonatal Lupus sɛ tebea abien yi nyinaa wɔ hɔ a:

• Sɛ wo ne/anaasɛ wo ba no yɛ `(positive)` ma `(anti-SSA)` ne/anaasɛ `(anti-SSB)` ne/anaasɛ `(anti-U1-RNP)`.

ne

• Sɛ anyɛ yiye koraa no, wo ba no wɔ ``Neonatal Lupus'' ho sɛnkyerɛnne biako a wɔagye atom a.

Ɔkwan bɛn so na wɔsa Neonatal Lupus?

Ayaresa no gyina sɛnea tebea no mu yɛ den so. Ɛho nhia sɛ wɔsa honam ani akuru, mogya mu nkwammoaa dodow a ɛnteɛ, anaa mmerɛbo mu enzymes a ɛkɔ soro. Mpɛn pii no, ɔhaw ahorow yi ankasa siesie wɔ nea ennu afe biako mu.

Nanso, ebia ɛho behia sɛ wɔde afiri a ɛma koma no yɛ den a ɛtra hɔ daa hyɛ nkokoaa a wɔwo wɔn a wɔn koma mu yɛ den no mu bere a wɔawo wɔn anaa wɔn mmofraase. Eyi yɛ oprehyɛn a wɔyɛ de hyɛ afiri bi a ɛbɛboa wɔn koma ma abɔ yiye. Wo ba no aduruyɛ kuw no bɛka eyi ho nsɛm pii akyerɛ wo.

Nhwehwɛmu bi ada no adi sɛ sɛ wonom nnuru bi wɔ nyinsɛn mu a, ebetumi atew asiane a ɛwɔ hɔ sɛ wo ba no benya komayare no so. Sɛ wohu sɛ wowɔ yare bi a nipadua no tumi ko tia nyarewa, anaasɛ woyɛ nhwehwɛmu hu sɛ ɛwɔ nipadua no mu nkwammoaa bi a ɛko tia nyarewa a, ebia wo duruyɛfo bɛkamfo akyerɛ wo sɛ fa aduru bi a wɔfrɛ no hydroxychloroquine bere a wonyinsɛn no. Saa a wobɛyɛ no betumi aboa ma woabɔ wo ba no ho ban afi Neonatal Lupus nkɛntɛnso a emu yɛ den sen biara no ho.

Dɛn ne nkɔmhyɛ a ɛfa nkokoaa a wɔwɔ Neonatal Lupus ho?

Wo ba no adwene gyina sɛnea Neonatal Lupus ka ne nipadua no so. Wɔ nkokoaa a wɔn honam ani, mmerɛbo, ne/anaa mogya a ɛnyɛ ne kwan so nkutoo fam no, adwene no ye yiye. Ɛsɛ sɛ biribiara san kɔ sɛnea na ɛte kan no ansa na asram 6 kosi 9 adu.

Nanso, sɛ koma no siw a, adwene a ɛwɔ hɔ no betumi ayɛ soronko koraa. Ɛtɔ mmere bi a, koma a esiw no betumi akum obi ansa na wɔawo no anaa bere a wɔawo no akyi. Nkokoaa pii a wɔn koma asiw no behia afiri a ɛma wɔn koma bɔ daa wɔ wɔn mmofraase.

Nkokoaa kakraa bi a wɔwɔ Neonatal Lupus betumi anya tebea bi a nipadua no tumi ko tia nyarewa te sɛ eyi akyiri yi:

• Mmofra ntini mu yare a ɛyɛ idiopathic
• Psoriasis a ɛyɛ mmerɛw
• Thyroid yare a nipadua no tumi ko tia nyarewa
• Asikreyare a ɛto so 1

"Ɛsono akokoaa biara. Ebia Lupus a wɔawo no foforo no rennya nkɛntɛnso kɛse biara wɔ wo ba no asetra so anaasɛ ennya nkɛntɛnso biara. Wɔn aduruyɛ kuw no bɛma wo nsɛm pii afa nea ɛsɛ sɛ wohwɛ kwan ne sɛnea wusiesie wo ho ho."

So wobetumi asiw Neonatal Lupus ano?

Ɔkwan biara nni hɔ a wobɛfa so asiw nnuru a ɛko tia nyarewa no kwan sɛ ɛbɛtwa awotwaa no mu bere a woanyinsɛn no. Nanso, wubetumi asiw wo ba no koma a ɛsɛe kɛse no ano, anaasɛ anyɛ yiye koraa no, wubedi kan ayɛ nhyehyɛe ama ayaresa biara a ebia wo ba no behia wɔ n’awo akyi. Sɛ woyɛ nhwehwɛmu hu sɛ wowɔ anti-SSA, anti-SSB, anaa anti-U1-RNP a, wo duruyɛfo betumi akamfo nea edidi so yi akyerɛ wo:

• Nnuru bi a wɔnom wɔ nyinsɛn no mfiase ne nyinsɛn mu no betumi aboa ma wɔabɔ akokoaa no ho ban na koma ansiw no.
• Nhwehwɛmu a wɔyɛ sɛ ebia koma no asiw (fetal echocardiograms) fi bɛyɛ adapɛn 16 wɔ nyinsɛn no mu.
• Akokoaa no koma dwumadi a wɔbɛhwɛ so wɔ n’asetra mu ɔsram a edi kan no mu. Eyi yɛ nea wɔde bɛhwɛ sɛ koma no asiw ho sɛnkyerɛnne (sɛ ennya mmae dedaw a), efisɛ nkokoaa binom nkyerɛ sɛnkyerɛnne biara kosi sɛ wɔawo wɔn akyi adapɛn kakraa bi.

Bere bɛn na ɛsɛ sɛ mehwehwɛ aduruyɛ mu afotu?

Ɛho hia sɛ wudi sɔhwɛ ne nhyehyɛe a wo ba no aduruyɛ kuw de ama no akyi pɛpɛɛpɛ. Wɔbɛkyerɛ wo mpɛn dodow a wode wo ba bɛba ma wɔakɔhwɛ no na wɔadi n’akyi.

Ɛho hia nso sɛ wohwɛ w’akwahosan so. Sɛ wohu sɛ wowɔ nnuru bi a ɛko tia nyarewa nanso wunni yare a nipadua no tumi ko tia nyarewa ho sɛnkyerɛnne anaa sɛnkyerɛnne biara a, ebia wo duruyɛfo de wo bɛkɔ akisikuru ho oduruyɛfo nkyɛn, oduruyɛfo a ne ho akokwaw wɔ nkwaa mu ɛyaw ne nyarewa a ɛfa ho mu. Eyi te saa efisɛ hokwan wɔ hɔ sɛ wubetumi anya yare a nipadua no tumi ko tia nyarewa a ɛyɛ nnam wɔ mfe kakraa a edi hɔ no mu. Wo duruyɛfo bɛkyerɛkyerɛ nea wubetumi ahwɛ kwan mu na wahwɛ wo yiye sɛnea ɛbɛyɛ a wubetumi anya ayaresa ntɛm ara.

Nsɛm bɛn na ɛsɛ sɛ mibisa me ba oduruyɛfo?

Saa nsɛmmisa yi betumi aboa wo ma woasua pii afa Neonatal Lupus ho bere a woahu sɛ ɔwɔ bi awie no:

• Ɔkwan bɛn so na Neonatal Lupus bɛka me nyinsɛn/me ba no?
• Ayaresa ahorow bɛn na ɛwɔ hɔ?
• Dɛn ne nkɔmhyɛ no?
• Hokwan bɛn na ɛwɔ hɔ sɛ Neonatal Lupus bɛka nyinsɛn daakye?

So mpanyimfo betumi anya ``Neonatal Lupus''?

Dabi, Neonatal Lupus nyɛ ade a wɔde hu mpanyimfo. Wohu no wɔ awotwaa ne nkokoaa nkutoo mu. Neonatal Lupus ne mpanyimfo lupus nyɛ ade koro.

Systemic Lupus Erythematosus (SLE), a yɛtaa frɛ no lupus no yɛ tebea a nipadua no tumi ko tia nyarewa a ɛka mmofra ne mpanyimfo nyinaa. SLE yɛ nhyehyɛe, a ɛkyerɛ sɛ ɛka nipadua no nyinaa na ɛhwehwɛ sɛ wɔsa no nkwa nna nyinaa na wɔhwɛ so.

Neonatal Lupus ka akokoaa nkwa asram kakraa a edi kan nkutoo. Ɛnkɔ so akyiri yi wɔ mmofraase anaa mpanyin afe so.

Nanso, Neonatal Lupus betumi anya obi nipadua so nkɛntɛnso bere tenten, sɛ wɔanhu kosi sɛ wɔawo no akyi mpo a. Ɔhaw a emu yɛ den sen biara ne koma a ɛsiw, a ebetumi ahwehwɛ sɛ wɔde afiri a ɛma koma no bɔ kɛse wɔ ne nkwa nna nyinaa mu. Nhwehwɛmu bi kyerɛ sɛ ebia nkokoaa a wɔwɔ Neonatal Lupus no wɔ asiane kɛse mu sɛ wobenya nyarewa a nipadua no tumi ko tia nyarewa akyiri yi.

Sɛ na wowɔ Neonatal Lupus bere a na woyɛ abofra a, wo ne wo duruyɛfo nkasa na woahu nhwehwɛmu anaa nhwehwɛmu ko a ebia wubehia bere a worenyin no.

Sɛ wonyinsɛn na wohu sɛ wowɔ akokoaa a wɔawo no foforo te sɛ eyi a, ebetumi ayɛ nea ɛboro so na ɛhaw wo. Ebetumi ayɛ den ankasa sɛ wunnim nea ɛbɛba bere a wo nyinsɛn no kɔ so no. Mfomso biara nni ho sɛ wobɛka wo suro ne wo haw ahorow akyerɛ w’aduruyɛfo kuw no. Wɔbɛyɛ nea wobetumi biara de aboa wo ma woate nea ɛrekɔ so no ase ne nea wubetumi ayɛ de aboa wo ma woanya nyinsɛn a ɛfata.

Sɛ wo ba no awo akyi a, ebia ɛho behia sɛ wɔhwɛ no wɔ n’asetra mu ɔsram a edi kan no nyinaa mu hwɛ sɛnea ne koma yɛ adwuma. Ebia wɔn honam ani akuru nso a ɛtra hɔ asram pii. Wo ba no aduruyɛ kuw no bɛkyerɛkyerɛ nea ɛsɛ sɛ wɔhwɛ kwan mu na wɔama wo ne abusua mũ no nyinaa mmoa.

Nneɛma a ɛsɛ sɛ yɛkae fi saa asɛm yi mu

Okay, enti momma yɛnsan nsusuw Neonatal Lupus ho nokwasɛm ahorow a ɛho hia sen biara a yɛkaa ho asɛm no bi ho asɛm:

• Neonatal Lupus yɛ tebea a ɛba nkokoaa a wɔawo wɔn foforo mu esiane nnuru titiriw a ɛko tia nyarewa a efi ɛna no hɔ kɔ akokoaa no mu nti.
• Eyi ne lupus (SLE) a ɛba mpanyimfo mu no nyɛ ade koro.
• Mpɛn pii no, yare no ho sɛnkyerɛnne no yɛ bere tiaa mu de na asiane biara nni ho, te sɛ honam ani akuru. Eyinom bɛsa wɔ asram 6-9 ntam.
• Nanso, nkokoaa binom betumi anya tebea bi a emu yɛ den a wɔfrɛ no congenital heart block, a ebia ebehia sɛ wɔde afiri a ɛma koma no bɔ denneennen.
• Sɛ ɛna no wɔ yare bi a nipadua no tumi ko tia nyarewa, anaasɛ ɔwɔ nnuru pɔtee bi a ɛko tia nyarewa (anti-SSA, anti-SSB) a, ɛho hia yiye sɛ wo ne oduruyɛfo no susuw eyi ho bere a wanyinsɛn no.
• Nkokoaa dodow no ara ho tɔ wɔn koraa fi tebea yi mu. Sɛ komayare ba a, wobetumi asa.
• Sɛ wowɔ nsɛmmisa anaa adwenem naayɛ bi a, nsuro sɛ wubebisa oduruyɛfo no. Wɔwɔ hɔ sɛ wɔbɛboa wo.

`Neonatal Lupus, mmofra a wɔawo wɔn foforo, nkokoaa nyarewa, koma a ɛsiw, autoimmunity, ɛnanom antibodies, honam ani akisikuru